The Saudi German Hospital made a follow-up appointment for me for Thursday 25th February.
Dr. Hossam first ensured that my bladder was empty, then made an ultrasonic scan. He then removed the catheter, and told me to keep drinking water until I felt that my bladder was full and I needed to go to the toilet urgently, and he would then rescan the bladder. When I went to the toilet, he wanted to measure how much urine I could pass, and rescan the bladder again afterwards to see if I had fully emptied it.
After drinking more than 30 cups of water over a 1 hour period, I still didn't feel any need to go to the toilet. I was then sent off to the Radiology department for another ultrasonic scan, but with a higher resolution machine. Whilst waiting for this, I kept drinking water, and my stomach began to feel very painful. A few minutes later, I vomited about 1 litre of water out - it obviously couldn't pass into my full bladder, but my stomach didn't want to store it either.
Despite an obviously (over) full bladder, I could not pass any urine, no matter how hard I tried, so a new catheter was inserted into my bladder, to drain into the colostomy bag.
The ultrasonic scans showed that my bladder wall was about 4 cm thick (instead of only 1 cm), so I was told that I will need a cystology and biopsy next to establish why this is, followed by surgery to correct this. However, the hospital needed authorisation from my health insurance first before proceeding any further.
The PSA test results from the blood sample last week returned a value of 2.2 and 2.5 - apparently anything below 4 is normal and indicates that there is no prostate cancer. Dr. Hossam gave me a scan of my prostate through my rectum, which showed that I have about 4 stones in my prostate - these will have to be removed surgically later, but are not the cause of my urine retention, and hence this is not a major issue.
THOUGHTS
Relieved that I do not appear to have Prostrate Cancer, but the large tumor in my bladder was obviously a concern now.
Dr. Hossam first ensured that my bladder was empty, then made an ultrasonic scan. He then removed the catheter, and told me to keep drinking water until I felt that my bladder was full and I needed to go to the toilet urgently, and he would then rescan the bladder. When I went to the toilet, he wanted to measure how much urine I could pass, and rescan the bladder again afterwards to see if I had fully emptied it.
After drinking more than 30 cups of water over a 1 hour period, I still didn't feel any need to go to the toilet. I was then sent off to the Radiology department for another ultrasonic scan, but with a higher resolution machine. Whilst waiting for this, I kept drinking water, and my stomach began to feel very painful. A few minutes later, I vomited about 1 litre of water out - it obviously couldn't pass into my full bladder, but my stomach didn't want to store it either.
Despite an obviously (over) full bladder, I could not pass any urine, no matter how hard I tried, so a new catheter was inserted into my bladder, to drain into the colostomy bag.
The ultrasonic scans showed that my bladder wall was about 4 cm thick (instead of only 1 cm), so I was told that I will need a cystology and biopsy next to establish why this is, followed by surgery to correct this. However, the hospital needed authorisation from my health insurance first before proceeding any further.
The PSA test results from the blood sample last week returned a value of 2.2 and 2.5 - apparently anything below 4 is normal and indicates that there is no prostate cancer. Dr. Hossam gave me a scan of my prostate through my rectum, which showed that I have about 4 stones in my prostate - these will have to be removed surgically later, but are not the cause of my urine retention, and hence this is not a major issue.
THOUGHTS
Relieved that I do not appear to have Prostrate Cancer, but the large tumor in my bladder was obviously a concern now.
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